A nurse on an inpatient eating disorder unit is assisting in the care of a client who has anorexia nervosa. A nurse on an inpatient eating disorder unit is collecting data from a client. Which of the following findings indicate a therapeutic response to the treatment plan? Select all that apply.

A. The ECG shows persistent sinus bradycardia, which is common in anorexia nervosa. While some bradycardia may remain, the presence of palpable pulses and stable ECG readings indicate cardiovascular stability, reflecting a positive response to treatment. B. The client’s weight increased from 34.5 kg to 37.2 kg, and BMI improved from 13 to 14.1. Weight gain is a primary indicator of therapeutic progress in anorexia nervosa, reflecting nutritional rehabilitation and improved metabolic status. C. Sodium remains low (128 → 130 mEq/L). Although slightly improved, it is still below the normal range, so this is not yet a full therapeutic response. Sodium levels require continued monitoring and correction. D. Respirations improved from slightly labored to even and unlabored, indicating improved oxygenation, metabolic stability, and overall physiologic improvement. E. Temperature increased from 35.6°C (96°F) to 36°C (97°F), moving toward normal. Hypothermia is common in anorexia due to malnutrition; the improvement indicates better metabolic and nutritional status. F. Creatinine decreased from 1.2 mg/dL to 0.9 mg/dL. Elevated creatinine initially reflected dehydration and possible muscle catabolism. The reduction toward the normal range demonstrates improved hydration and renal function, indicating a therapeutic response.